Comparison of therapeutic effects of intense pulse light (IPL) alone and a combination treatment of IPL and rebamipide in dry eye patients

INTERVENTION: Drug : The treatment group received Rebamipide eye drops administered four times daily for 9 weeks, while the control group received 0.1% Hyaluronic Acid eye drops administered four times daily for 9 weeks.IPL treatment was administered equally to both groups, with a total of three sessions at 3‐week intervals. CONDITION: Diseases of the eye and adnexa PRIMARY OUTCOME: Meibomian gland dysfunction‐related factors (lid margin abnormality, meibum expressibility and quality) Ocular surface staining score (NEI scale) Ocular symptom questionnaire score (OSDI, SPEED) Tear cytokine levels (MMP9, IL8, EGF) Tear film‐related factors (tear breakup time, schirmer test) INCLUSION CRITERIA: Adults aged 20 to 80 years who were diagnosed with meibomian gland dysfunction and aqueous‐deficient dry eye at our institution and scheduled to receive IPL trea